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非交通性残角子宫妊娠合并子宫破裂:一例报告。

Non-communicated rudimentary uterine horn pregnancy and uterine rupture: A case report.

作者信息

Wang Li, Ren Songtao, Zhang Yan, Liu Wei, Shi Wentian

机构信息

Medical College of Liaocheng University, Liaocheng, P.R. China.

Department of Neurosurgery, Liaocheng People's Hospital, Liaocheng, P.R. China.

出版信息

SAGE Open Med Case Rep. 2022 Jun 14;10:2050313X221104034. doi: 10.1177/2050313X221104034. eCollection 2022.

Abstract

Rudimentary uterine horn pregnancy is a rare and serious type of ectopic pregnancy and is hard to diagnose due to a lack of typical clinical symptoms at the early stage. A 35-year-old woman who was17 weeks pregnant and had a complicated history of infertility came to our hospital complaining of abdominal pain without vaginal bleeding. Computed tomography scan after 12 hours showed that her pregnancy was in the small cavity of a rudimentary uterine horn, which had ruptured. Noncommunicating rudimentary uterine horn pregnancy is an extremely rare form of ectopic gestation, and its diagnosis and management remain challenging. Nevertheless, physician awareness of various forms of unicornuate uteri and rudimentary uterine horn can save lives.

摘要

残角子宫妊娠是一种罕见且严重的异位妊娠类型,由于早期缺乏典型临床症状,很难诊断。一名35岁、怀孕17周且有复杂不孕史的女性因腹痛前来我院就诊,无阴道出血。12小时后的计算机断层扫描显示,她的妊娠位于残角子宫的小腔内,已破裂。非交通性残角子宫妊娠是一种极其罕见的异位妊娠形式,其诊断和处理仍然具有挑战性。然而,医生对各种单角子宫和残角子宫形式的认识可以挽救生命。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bcbd/9201294/9df536520993/10.1177_2050313X221104034-fig1.jpg

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